Organization Active NPI

Kalispell Midwives & Womens Health Inc

  • Advanced Practice Midwife
  • Kalispell, MT
National Provider Identifier
1194392712
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
KALISPELL MIDWIVES & WOMENS HEALTH INC
Practice address
165 Commons Loop Ste a
Kalispell, MT 59901-1919
Phone
(406) 212-0214
NPI assigned
Jun 10, 2021
Last updated
Jun 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jana Sund, CNMNPI 1740421023
Title
CNM
Phone
(406) 212-0214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NU
Advanced Practice Midwife 367A00000X NU Primary

Addresses

Primary practice location

165 Commons Loop Ste a
Kalispell, MT 59901-1919

Mailing address

165 Commons Loop Ste a
Kalispell, MT 59901-1919
Phone (406) 461-9635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706003394 MT Part B Supplier - Clinic/Group Practice 5890197388 Receives reassigned benefits from 5 practitioners
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

165 Commons Loop
Ste A
Kalispell, MT 59901
Phone (406) 212-0214

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1194392712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 COMMONS LOOP STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011919",
            "telephone_number": "406-461-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 COMMONS LOOP STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011919",
            "telephone_number": "406-212-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL MIDWIVES & WOMENS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "SUND",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "CNM",
        "authorized_official_telephone_number": "406-212-0214",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.